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Hard_Edges_Mapping_SMD_FINAL_VERSION_Web

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26 <strong>Hard</strong> edges<br />

Local Examples: Manchester and Lambeth<br />

For the purposes of comparison, two examples<br />

are presented below alongside each other<br />

– Manchester (a northern city with high<br />

prevalence of <strong>SMD</strong>) and Lambeth (an inner<br />

London borough with fairly high prevalence) (for<br />

more details on these cases see Appendix J).<br />

We present for each authority a prevalence<br />

rate (per 1,000 working age population) and<br />

an estimated actual number for each <strong>SMD</strong><br />

category. We follow the same approach as with<br />

our presentation of the national total numbers<br />

in Figure 1, by estimating the number in each<br />

category (or segment) of <strong>SMD</strong> from the best<br />

available source for that number.<br />

We also present an estimate of the number<br />

within any of these <strong>SMD</strong> categories who also<br />

have mental health problems. As discussed<br />

elsewhere in this report, there are grounds for<br />

believing that the incidence of mental health<br />

problems may be significantly greater than<br />

recorded here. Thus these initial estimates<br />

give a feel for a conservative estimate of the<br />

overlap between mental health problems and<br />

our <strong>SMD</strong> groups.<br />

As can be seen in Table 2, Manchester<br />

generally has higher prevalence rates than<br />

Lambeth, although both are well above the<br />

national average (using the combined index<br />

referred to in the main text and shown in tables<br />

1 and 2, Manchester scores 225 and Lambeth<br />

169 against a national norm of 100).<br />

In addition to this difference in prevalence<br />

rates, Manchester has a larger population,<br />

so the overall numbers are bigger again for<br />

that reason.<br />

For both authorities, the multiple regression<br />

analysis referred to in the main text predicts<br />

a markedly higher than average prevalence<br />

of <strong>SMD</strong>. This is therefore borne out in this<br />

local data on rates and numbers, although<br />

in both cases the actual level is higher than<br />

the prediction. Considering these regression<br />

results in detail (see Appendix J), it becomes<br />

apparent that <strong>SMD</strong> in Manchester is particularly<br />

prevalent because of its large young adult<br />

population, while both authorities are high<br />

because of their high unemployment and large<br />

share of one-person households. Manchester,<br />

to a greater extent than Lambeth, is also<br />

pushed up by its poor health conditions.<br />

Variables associated with local institutional<br />

accommodation do not appear to make<br />

much difference.<br />

Comparison with statutory homelessness<br />

If you look at the spatial distribution of <strong>SMD</strong><br />

compared to the distribution of statutory<br />

homelessness the picture is not the same<br />

across the country. As Map 2 below shows,<br />

statutory homeless pressures are in some<br />

cases high in areas which also have high <strong>SMD</strong>,<br />

but also in many instances they are high in<br />

different kinds of areas. And not all of the areas<br />

which have a high prevalence of <strong>SMD</strong> have high<br />

levels of statutory homelessness.<br />

Table 2: <strong>SMD</strong> comparison between Manchester and Lambeth<br />

Manchester Lambeth<br />

<strong>SMD</strong> Category<br />

Rate per 1,000<br />

working age<br />

population<br />

Total number<br />

(rounded)<br />

Rate per 1,000<br />

working age<br />

population<br />

Total number<br />

(rounded)<br />

<strong>SMD</strong>1 17.77 6,790 11.18 2,640<br />

<strong>SMD</strong>2 10.07 3,850 8.01 1,890<br />

<strong>SMD</strong>3 3.34 1,275 1.68 395<br />

Total 31.18 11,915 20.87 4,925<br />

Total of <strong>SMD</strong> 1/2/3 who also<br />

have Mental Health problems<br />

5,240 1,985

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